Case Studies

Hospital-Physician Oncology Joint Venture

A large multi-specialty oncology group wished to collaborate with the area hospital to expand and improve cancer care. Lisa helped the parties through many complex regulatory and business hurdles, and the end result was a state-of-the-art regional cancer center opened by the hospital in 2011, with a radiation-oncology department run, in part, through the physician/hospital joint venture.

Stark Law Audit and CMS Disclosures

Responding to the recent changes to the Federal False Claims Act requiring providers to disclose and refund Medicare overpayments within 60 days of discovery, Lisa and her team of compliance lawyers have conducted top-to-bottom Stark Law audits for several hospitals. The audits have led to disclosures/repayments to local Medicare carriers as well as to CMS under the Stark Self-Disclosure Protocol.

Lisa has assisted numerous nonprofit hospitals in their purchase of physician groups. Besides attending to the normal acquisition issues, such as due diligence, contract assignment, representations, and indemnities, Lisa also counseled on health law issues such as practice valuation as it relates to Anti-kickback Statute and Stark Law compliance, post-closing physician compensation models, and Medicare provider-based rules. Lisa also advises on alternatives to acquisition, such as joint ventures, management arrangements, and direct employment.